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General NPI Number Information
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NPI Number | 1871618256
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Entity Type | Organization
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Legal Business Name | VAN BUREN AMBULANCE SERVICE
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 51 MAIN ST
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City | VAN BUREN
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State | ME
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Zip | 04785-1027
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Country | US
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Telephone | 207-868-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 51 MAIN ST
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City | VAN BUREN
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State | ME
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Zip | 04785-1027
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Country | US
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Telephone | 207-868-2251
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Fax |
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Authorized Official
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Title or Position | SERVICE CHIEF
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Name | PETER LAPLANTE
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Credential |
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Telephone | 207-868-2251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 720
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License Number State | ME
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